API end point: https://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir-r4.

Resource Coverage (R4)

Maps the CareEvolution Insurance concept

Supported interactions

Search parameters

Name Type Modifiers , prefixes Multiple values Can be chained Description
_id Token Yes

Resource id

_lastUpdated Date eq ne lt le gt ge sa eb ap

When the resource last changed

_source Token :missing Yes

Where the resource comes from

beneficiary Reference :missing Yes Yes

Covered party

dependent String :contains :exact Yes

Dependent number

group String :contains :exact :missing Yes See here
identifier Token :missing Yes

The primary identifier of the insured and the coverage

patient Reference :missing Yes Yes

Retrieve coverages for a patient

plan String :contains :exact :missing Yes See here
provenance-agent Reference :missing Yes Yes

Search by provenance, specified by its author (aka originator) Organization

sequence String :contains :exact Yes See here
subplan String :contains :exact :missing Yes See here
type Token :not :in :not-in :missing Yes

The kind of coverage (health plan, auto, Workers Compensation)

Sorts

Supports multiple sorts

Includes

Operations

To FHIR mappings

CareEvolution FHIR
AuthorizationDate extension('http://careevolution.com/fhirextensions#coverage-authorizationDate')
AuthorizationNumber extension('http://careevolution.com/fhirextensions#coverage-authorizationNumber')
AuthorizationSource extension('http://careevolution.com/fhirextensions#coverage-authorizationSource')
Class
Domain: InsuranceClass
class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|class
Comment text
DataSource extension('http://careevolution.com/fhirextensions#dataSource')
Details extension('http://careevolution.com/fhirextensions#coverage-details')
EncounterID extension('http://careevolution.com/fhirextensions#coverage-encounterID')
EndDate period
GroupEmpId class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|subplan
GroupEmpName extension('http://careevolution.com/fhirextensions#coverage-groupEmpName')
GroupName extension('http://careevolution.com/fhirextensions#coverage-groupName')
class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|subgroup
GroupNumber class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|group
InsuranceCompanyAddress payor
InsuranceCompanyCity payor
InsuranceCompanyName payor
InsuranceCompanyPhone payor
InsuranceCompanyPostalCode payor
InsuranceCompanyState payor
InsuredAddress extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
InsuredAltPhone extension('http://careevolution.com/fhirextensions#coverage-insuredAltPhone')
InsuredCity extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
InsuredDob subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredDob')
InsuredGender extension('http://careevolution.com/fhirextensions#coverage-insuredGender')
InsuredName subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredName')
InsuredPhone extension('http://careevolution.com/fhirextensions#coverage-insuredPhone')
InsuredPostalCode extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
InsuredRelationship
Domain: FamilyRelationship
relationship
Bindings:  valueset-subscriber-relationship
InsuredSsn extension('http://careevolution.com/fhirextensions#coverage-insuredSsn')
InsuredState extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
MedicaidCaseName extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseName')
MedicaidCaseNumber extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseNumber')
MedicareCardNumber extension('http://careevolution.com/fhirextensions#coverage-medicareCardNumber')
Network
Domain: InsuranceNetwork
network
PatientID beneficiary
PharmacyCoverage extension('http://careevolution.com/fhirextensions#coverage-pharmacyCoverage')
PlanIdentifier identifier
PlanName class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|plan
PlanType
Domain: InsurancePlanType
type
PolicyNumber extension('http://careevolution.com/fhirextensions#coverage-policyNumber')
PrimaryCaregiver extension('http://careevolution.com/fhirextensions#coverage-primaryCaregiver')
Priority order
Product
Domain: InsuranceProduct
class Maps the class with type=http://careevolution.com/fhir/CoverageClass|product
ProductGroup
Domain: InsuranceProductGroup
class Maps the class with type=http://careevolution.com/fhir/CoverageClass|productgroup
Property('Dependent') dependent
Property('SusbcriberIdentifier') subscriberId
RateCode
Domain: InsuranceRateCode
extension('http://careevolution.com/fhirextensions#coverage-rateCode')
Segment
Domain: InsuranceSegment
extension('http://careevolution.com/fhirextensions#coverage-segment')
Sponsor extension('http://careevolution.com/fhirextensions#coverage-sponsor')
StartDate period
Status
Domain: InsuranceStatus
status
Bindings:  valueset-fm-status
Type
Domain: InsuranceType
extension('http://careevolution.com/fhirextensions#coverage-type')

From FHIR mappings

CareEvolution FHIR
AuthorizationDate extension('http://careevolution.com/fhirextensions#coverage-authorizationDate')
AuthorizationNumber extension('http://careevolution.com/fhirextensions#coverage-authorizationNumber')
AuthorizationSource extension('http://careevolution.com/fhirextensions#coverage-authorizationSource')
Class
Domain: InsuranceClass
class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|class
Comment text
DataSource extension('http://careevolution.com/fhirextensions#dataSource')
EncounterID extension('http://careevolution.com/fhirextensions#coverage-encounterID')
EndDate period
GroupEmpId class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|subplan
GroupEmpName extension('http://careevolution.com/fhirextensions#coverage-groupEmpName')
GroupName extension('http://careevolution.com/fhirextensions#coverage-groupName')
class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|subgroup
GroupNumber class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|group
InsuranceCompanyAddress payor
InsuranceCompanyCity payor
InsuranceCompanyName payor
InsuranceCompanyPhone payor
InsuranceCompanyPostalCode payor
InsuranceCompanyState payor
InsuredAddress subscriber
InsuredAltPhone extension('http://careevolution.com/fhirextensions#coverage-insuredAltPhone')
InsuredCity subscriber
InsuredDob extension('http://careevolution.com/fhirextensions#coverage-insuredDob')
subscriber
InsuredGender extension('http://careevolution.com/fhirextensions#coverage-insuredGender')
subscriber
InsuredName extension('http://careevolution.com/fhirextensions#coverage-insuredName')
subscriber
InsuredPhone extension('http://careevolution.com/fhirextensions#coverage-insuredPhone')
subscriber
InsuredPostalCode subscriber
InsuredRelationship
Domain: FamilyRelationship
relationship
Bindings:  valueset-subscriber-relationship
InsuredSsn extension('http://careevolution.com/fhirextensions#coverage-insuredSsn')
subscriber
InsuredState subscriber
MedicaidCaseName extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseName')
MedicaidCaseNumber extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseNumber')
MedicareCardNumber extension('http://careevolution.com/fhirextensions#coverage-medicareCardNumber')
Network
Domain: InsuranceNetwork
network
PatientID beneficiary
PharmacyCoverage extension('http://careevolution.com/fhirextensions#coverage-pharmacyCoverage')
PlanIdentifier identifier
id
PlanName class Maps the class with type=http://terminology.hl7.org/CodeSystem/coverage-class|plan
PlanType
Domain: InsurancePlanType
type
PolicyNumber extension('http://careevolution.com/fhirextensions#coverage-policyNumber')
PrimaryCaregiver extension('http://careevolution.com/fhirextensions#coverage-primaryCaregiver')
Priority order
Product
Domain: InsuranceProduct
class Maps the class with type=http://careevolution.com/fhir/CoverageClass|product
ProductGroup
Domain: InsuranceProductGroup
class Maps the class with type=http://careevolution.com/fhir/CoverageClass|productgroup
Property('Dependent') dependent
Property('SusbcriberIdentifier') subscriberId
RateCode
Domain: InsuranceRateCode
extension('http://careevolution.com/fhirextensions#coverage-rateCode')
Segment
Domain: InsuranceSegment
extension('http://careevolution.com/fhirextensions#coverage-segment')
Sponsor extension('http://careevolution.com/fhirextensions#coverage-sponsor')
StartDate period
Status
Domain: InsuranceStatus
status
Bindings:  valueset-fm-status
Type
Domain: InsuranceType
extension('http://careevolution.com/fhirextensions#coverage-type')